NPIMap

Organization Active NPI

Atlas Physical Therapy & Industrial Rehabilitation PLLC

  • Physical Therapy Clinic/Center
  • Everett, WA
National Provider Identifier
1174945224
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 00008126 Issued in WA
Legal business name
ATLAS PHYSICAL THERAPY & INDUSTRIAL REHABILITATION PLLC
Practice address
13410 Highway 99 Ste 204
Everett, WA 98204-5454
Phone
(425) 742-7300
Fax
(425) 742-7334
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Titonath Dith, DPTNPI 1871795294
Title
Owner
Phone
(206) 423-0899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 00008126 WA Primary

Addresses

Primary practice location

13410 Highway 99 Ste 204
Everett, WA 98204-5454

Mailing address

13410 Highway 99 Ste 204
Everett, WA 98204-5454
Phone (425) 742-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140514001906 WA Part B Supplier - Clinic/Group Practice 9830312107 Receives reassigned benefits from 1 practitioner
Practice locations: Everett, WA

National Provider Directory

National Provider Directory

Locations

13410 Highway 99
Ste 204
Everett, WA 98204
Phone (425) 742-7300

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1174945224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 HIGHWAY 99 STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045454",
            "telephone_number": "425-742-7300",
            "fax_number": "425-742-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 HIGHWAY 99 STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045454",
            "telephone_number": "425-742-7300",
            "fax_number": "425-742-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PHYSICAL THERAPY & INDUSTRIAL REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "DITH",
        "authorized_official_first_name": "TITONATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-423-0899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT 00008126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.